Individual
BRIAN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.S., BCBA
Contact information
Practice address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-3849
Mailing address
38339 JEANETTE ST, PALMDALE, CA 93550-4838
(323) 600-5082
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-35156
CA
103T00000X
Psychologist
Primary
—
CA
225C00000X
Rehabilitation Counselor
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/12/2019
Last updated
07/11/2023
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